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Comparison depression grades of ischemic brain stroke men and women before and after completion comprehensive rehabilitation
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Ischemic stroke is the most common cause of hospitalization in the Department of Neurological Rehabilitation. Comprehensive rehabilitation is essential for regaining lost functional efficiency.
The aim of study was to evaluate the effectiveness of specific disorder rehabilitation program in 57 patients with first-ever ischemic stroke.
The study inc...
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Citations
... Moreover, Starosta et al. [37] evaluated the effectiveness of a specific psychomotor rehabilitation program after first-ever ischemic stroke patients underwent 25 days of rehabilitation. Functional status was assessed in 57 patients based on the ADL and mRS tools. ...
... Our study shows that post-stroke patients rehabilitated in our project (PNF and MT methods) achieved significant improvement in functional status as assessed with BI. Similar results were obtained by Starosta et al. [37], who noted that the applied program of comprehensive neurorehabilitation led to functional improvement based on the ADL scale by 32% (36% in women, 30% in men) and on the mRS by 22% (22% in women, 21% in men). ...
Stroke is a serious cause of premature death among adults and the reason for much long-term disability. Understanding the mechanisms of disability and the potential for recovery of stroke patients should be one of the highest priorities of the health care system. Neurorehabilitation of post-stroke patients focuses on functional recovery by activating mechanisms of natural reorganization. Proprioceptive neuromuscular facilitation (PNF) and mirror therapy (MT) are neurorehabilitation methods activating brain plasticity, and their clinical utility for stroke survivors is still under studied. This study compared two neurorehabilitation methods using PNF or MT on functional recovery in patients after a first-ever ischemic stroke. This prospective and interventional randomized clinical study involved a group of 50 patients (34 males and 16 females) with first-ever ischemic stroke, aged 48–82 years being in the recovery-compensation stage and admitted to the unit for early post-stroke rehabilitation. Patients were randomly enrolled into two groups in terms of rehabilitation method used: PNF (n = 26) or MT (n = 24). Barthel Index (BI) was used for assessing functional status at baseline (M0), and 3 (M1) and 6 weeks (M2) after intervention), and modified Rankin Scale (mRS) was used for assessing a disability level at baseline (M0), and 6 weeks (M2) after the intervention. Statistically significant differences were noted in the two study groups in BI (main effect:
... Such factors as repeated movements, the focus of attention, emotions, and reward systems can influence neuroplasticity. These factors can generate synaptic enhancement and lead to the activation of new neural pathways [6]. However, during rehabilitation, therapists usually spend more time exercising the plegic lower limb than the upper one, focusing on the ability to sit up, stand, and walk independently [7]. ...
Patients after stroke with paretic or plegic hands require frequent exercises to promote neuroplasticity and to improve hand joint mobilization. Available devices for hand exercising are intended for persons with some level of hand control or provide continuous passive motion with limited patient involvement. Patients can benefit from self-exercising where they use the other hand to exercise the plegic or paretic one. However, post-stroke neuropsychological complications, apathy, and cognitive impairments such as forgetfulness make regular self-exercising difficult. This paper describes Przypominajka v2—a system intended to support self-exercising, remind about it, and motivate patients. We propose a glove-based device with an on-device machine-learning-based exercise scoring, a tablet-based interface, and a web-based application for therapists. The feasibility of on-device inference and the accuracy of correct exercise classification was evaluated on four healthy participants. Whole system use was described in a case study with a patient with a paretic hand. The anomaly classification has an accuracy of 91.3% and f1 value of 91.6% but achieves poorer results for new users (78% and 81%). The case study showed that patients had a positive reaction to exercising with Przypominajka, but there were issues relating to sensor glove: ease of putting on and clarity of instructions. The paper presents a new way in which sensor systems can support the rehabilitation of after-stroke patients with an on-device machine-learning-based classification that can accurately score and contribute to patient motivation.
... Participation in a comprehensive rehabilitation program for 25 days during the subacute stroke phase was shown to have an important effect on upper limb function. Compared with men, women obtained better functional rehabilitation in all of the parameters [126]. Video games can induce neuroplasticity and provide a beneficial environment in which patients can perform repetitive, functionally meaningful movements. ...
After ischemic stroke, survivors experience motor dysfunction and deterioration of memory and cognition. These symptoms are associated with the disruption of normal neuronal function, i.e., the secretion of neurotrophic factors, interhemispheric connections, and synaptic activity, and hence the disruption of the normal neural circuit. Exercise is considered an effective and feasible rehabilitation strategy for improving cognitive and motor recovery following ischemic stroke through the facilitation of neuroplasticity. In this review, our aim was to discuss the mechanisms by which exercise-induced neuroplasticity improves motor function and cognitive ability after ischemic stroke. The associated mechanisms include increases in neurotrophins, improvements in synaptic structure and function, the enhancement of interhemispheric connections, the promotion of neural regeneration, the acceleration of neural function reorganization, and the facilitation of compensation beyond the infarcted tissue. We also discuss some common exercise strategies and a novel exercise therapy, robot-assisted movement, which might be widely applied in the clinic to help stroke patients in the future.
... У структурі неврологічної патології найбільш актуальними та соціально значущими залишаються гострі порушення мозкового кровообігу [1-3]. Аналіз сучасної науковометодичної літератури, узагальнення досвіду провідних фахівців свідчать про те, що відновлення пацієнтів з ішемічним інсультом, залежить від правильності ведення ерготерапевтичних та реабілітаційних заходів на всіх періодах відновної терапії, адекватності ерготерапевтичного втручання [4][5][6][7]. Ерготерапія фокусується на розвитку необхідних для здійснення діяльності в повсякденному житті навичок [8], тому вона є основою для покращення здатності функціонувати, підвищення рівня активності та участі пацієнта з ішемічним інсультом, якості життя хворих та близького оточення. ...
... У структурі неврологічної патології найбільш актуальними та соціально значущими залишаються гострі порушення мозкового кровообігу [1][2][3]. Аналіз сучасної науковометодичної літератури, узагальнення досвіду провідних фахівців свідчать про те, що відновлення пацієнтів з ішемічним інсультом, залежить від правильності ведення ерготерапевтичних та реабілітаційних заходів на всіх періодах відновної терапії, адекватності ерготерапевтичного втручання [4][5][6][7]. Ерготерапія фокусується на розвитку необхідних для здійснення діяльності в повсякденному житті навичок [8], тому вона є основою для покращення здатності функціонувати, підвищення рівня активності та участі пацієнта з ішемічним інсультом, якості життя хворих та близького оточення. ...
Stroke is a disease affecting a large part of our society. According to WHO data, it is the second world’s biggest killer, accounting for near six million deaths in 2016 and it is about 30% of the total number of strokes per year. Other patients affected by such a disease should be rehabilitated as soon as possible. As a result of this phenomenon, paresis may occur. Among the devices available on the market there are many rehabilitation robots, but the method of electrostimulation can be used. The authors focused their attention on electrostimulation and commercially available therapies. Using this method, application to people with large hand muscle contracture is difficult. The authors of the work present a solution dedicated to exactly such people. A solution of textronic sensors manufactured on a textile substrate using the technology of physical vapor deposition is presented in the article. As a result of the conducted research, an electroconductive structure was obtained with a low surface resistance value of 1 Ω/□ and high flexibility. It can alternatively be used in hand rehabilitation for electrostimulation of fingertips. The solution is dedicated to people with high hands spasticity for whom it is impossible to put on a rehabilitation glove.
Background:
To explore the effect of comprehensive rehabilitation training (CRT) on cognitive impairment, anxiety, and depression in poststroke patients.
Methods:
168 poststroke patients were consecutively recruited in this randomized controlled study. Patients were randomly assigned to CRT group (CRT plus conventional treatment) and control group (conventional treatment) as 1:1 ratio. The specific interventions of CRT included patient and family member education, cognitive training, rehabilitation training, and regular check.
Results:
Both montreal cognitive assessment score change (Month12 [M12]-baseline; P = .001) and minimum mental state examination score change (M12-baseline) were higher in CRT group than that in control group (P = .004), and the percentage of cognitive impairment by montreal cognitive assessment score ≤26 was lower (P = .003) in CRT group compared to control group at month 12. Anxiety assessments were performed by hospital anxiety and depression scale (HADS) and Zung self-rating anxiety scale (SAS). The HADS anxiety score change (M12-baseline; P = .002) and the SAS score change (M12-baseline; P = .006) were decreased in CRT group compared to control group. Lower occurrence rate of anxiety assessed by SAS was observed in CRT group compared to control group (P = .033). Depression assessments were performed by HADS and Zung self-rating depression scale (SDS). HADS depression score change (M12-baseline; P < .001) and the SDS score change (M12-baseline; P = .002) were reduced in CRT group compared to control group. Decreased occurrence rate of depression assessed by SDS was found in CRT group compared to control group (P = .022).
Conclusions:
CRT contributes to the recovery of cognitive impairment, and decreases anxiety and depression in poststroke patients.
